33D2283659 CLIA NUMBER - CHAUTAUQUA FIRE DISTRICT NO 1

Laboratory Demographics

  • CLIA Code: 33D2283659
  • Facility Name: CHAUTAUQUA FIRE DISTRICT NO 1
  • Facility Address: 2 ROYAL WAY
    CHAUTAUQUA, NY
    ZIP 14722
  • Facility Phone: 716 357-3473
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. FAULK
  • NPI Number: 1710726492
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 33D2283659
LAB Type Ambulance
Facility Name CHAUTAUQUA FIRE DISTRICT NO 1
Street 2 ROYAL WAY
City CHAUTAUQUA
State NY
ZIP 14722
Phone 716 357-3473
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2023
Certificate Expiration Date 3/26/2027
Facility Type Ambulance
Lab Director MICHAEL W. FAULK

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This page was last updated on: 9/29/2025